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Background: An often confounding facet of the dynamics of malaria vectors is the aquatic larval habitat availability and suitable conditions under which they can thrive. Here, we investigated the impact of environmental factors on the temporal and spatial distribution of larval habitats of Anopheles arabiensis in different locations on La Reunion Island., Methods: A retrospective examination was made from archival data which provided the complete enumeration of An. arabiensis breeding habitats in three distinct geographic zones--extending North-east, West and South of the island over 14 years, from January 1996 to December 2009. Data on the occurrence and the number of active larval habitats at each of a total of 4376 adjacent ellipsoid grid cells (216,506 square meters each) were used (1) to provide the geographic extent of breeding site availability from year to year and (2) to analyze associations with prevailing environmental factors, habitat types, and locations., Results: Anopheles arabiensis utilized a spectrum of man-made and natural aquatic habitats, most of which were concentrated primarily in the rock pools located in ravines and river fringes, and also in the large littoral marshes and within the irrigated agricultural zones. The numbers of breeding site per sampling grid differed significantly in different parts of the island. In contrast to an originally more widespread distribution across the island in the 1950s, detailed geographic analyses of the data obtained in the period extending from 1996-2009 showed an intriguing clustered distribution of active breeding sites in three discontinuous geographic zones, in which aquatic habitats availability fluctuates with the season and year. Seasonality in the prevalence of anopheles breeding sites suggests significant responsiveness to climatic factors., Conclusions: The observed retreat of An. arabiensis distribution range to lower altitudinal zones (< 400 m) and the upward shift in the most remote littoral areas in the northeast and southwest regions suggest the possible influence of biogeographic factors, changes in land use and control operations. The results of this study would allow for a more rational implementation of control strategies across the island.

The selection of suitable field sites for integrated control of Anopheles mosquitoes using the sterile insect technique (SIT) requires consideration of the full gamut of factors facing most proposed control strategies, but four criteria identify an ideal site: 1) a single malaria vector, 2) an unstructured, relatively low density target population, 3) isolation of the target population and 4) actual or potential malaria incidence. Such a site can exist in a diverse range of situations or can be created. Two contrasting SIT field sites are examined here: the desert-flanked Dongola Reach of the Nile River in Northern State, Sudan, where malaria is endemic, and the island of La Reunion, where autochthonous malaria is rare but risk is persistent. The single malaria-transmitting vector at both sites is Anopheles arabiensis. In Sudan, the target area is a narrow 500 km corridor stretching from the rocky terrain at the Fourth Cataract--just above the new Merowe Dam, to the northernmost edge of the species range, close to Egypt. Vector distribution and temporal changes in density depend on the Nile level, ambient temperature and human activities. On La Reunion, the An. arabiensis population is coastal, limited and divided into three areas by altitude and exposure to the trade winds on the east coast. Mosquito vectors for other diseases are an issue at both sites, but of primary importance on La Reunion due to the recent chikungunya epidemic. The similarities and differences between these two sites in terms of suitability are discussed in the context of area-wide integrated vector management incorporating the SIT.

Anopheles arabiensis, together with Anopheles gambiae sensu stricto, are the most important vectors of human malaria in sub-Saharan Africa. The malaria situation keeps worsening, with 1 to 3 million deaths a year, and alternative strategies are needed to decrease malaria transmission intensity. In this paper, we studied the population structure of An. arabiensis from three sample sites on the remote Indian Ocean island of La Réunion. Our results showed strong genetic structuring between An. arabiensis populations on La Réunion, indicating the presence of barriers to gene flow. Reasons for such a high genetic differentiation are discussed, including the role of intensive control measures that have maintained reduced effective population size as well as a putative genetic adaptation to the environment. This strong structuring situation on the island represents an ideal framework for the prospect of genetic-based control trials.

Cytological examination of a sample of Anopheles gambiae complex mosquitoes from Reunion island revealed the presence of An. arabiensis only. Chromosomal polymorphisms were observed only for inversion 3Ra, the standard homozygote form being predominant. Cross-mating experiments with laboratory specimens originating from continental Africa produced viable and fertile offspring with no chromosomal asynapsis observed in the F1 female progeny. There was no evidence for speciation of the Reunion island populations. The results are discussed with regard to the behaviour of the vector and its influence on the vectorial capacity of this species, and the history of malaria and malaria control in the South-West islands of the Indian Ocean and on Reunion island in particular.

Ten F1 Aedes albopictus samples collected from Réunion Island in the Indian Ocean were tested for oral susceptibility to dengue 2 virus and 20 were analysed for genetic polymorphism by starch gel electrophoresis. Data from infection rates defined two distinct geographical areas: east coast vs. west coast. Genetic differentiation was found to be dependent on ecological factors and the biological characteristics of Ae. albopictus. These results have implications for the vector ecology and pattern of migration, and have importance in the understanding of dengue transmission.

Following intensive control measures, malaria was eradicated from La Réunion Island (Indian Ocean) in 1979. However, potential vectors remain in coastal areas and, each year Public Health Services detect some imported cases from surrounding countries. Anopheles arabiensis is the only species which can be responsible for local transmission though its brief life cycle and its exophilic and zoophilic behaviour were found to be key elements in maintaining the eradication status of the disease on the island. Its vectorial capacity was measured at different seasons and in different areas with a view to assessing the health risks due to imported malaria and suggesting a more pertinent strategy of vector control.

Réunion is currently posed with the operational problem of the last phase of the struggle against malaria, that is the consolidation and the maintenance of the state of cradication. The native parasite was eliminated, but the risk of resurgence of malaria remains on the island. This risk is even increasing from year to year because of the following: 1) the regular increase of the number of travellers originating from countries with malaria and consequently, the increase in the number of imported malaria cases; 2) the appearance of malaria strains resistant to amino-4-quinoleines, in the south-western regions of the Indian Ocean; 3) the persistence of the vector which cannot be eliminated because of its rapid evolutionary cycle and the multiplicity of its larval habitats. Furthermore, the reintroduction of malaria on the island would present serious consequences considering the disappearance of immunity in the population of Réunion. Thus it is necessary to maintain the struggle at a high level of intervention following a strategy based on: 1) the detection and the control of the malaria cases; 2) a targeted anti-vectorial activity based on a systematic anti-larval fight, eventually completed by the eradication of the adapted adult vectors. The reduction of personnel and the difficulties encountered in establishing a mechanization of the adapted tasks lead to a reduction of activities of insect eradication and endanger the existing strategy of the struggle. This strategy has been redefined during these last several years. The malaria situation in Réunion, satisfactory until today, rests on a careful epidemiological surveillance and on an optimized entomological surveillance. Currently, the treatments are abandoned in the least sensitive zones to the benefit of a better surveillance of priority zones (prospecting, entomological studies and treatments). Anopheles gambiae s.l. is present on the island and each year some parasites are imported to the Réunion territory. The requisite conditions for an eventual re-emergence of transmission of the native parasite would seem to be combined. However, this transmission is not observed. The role of the Applied Entomology Group is to evaluate the risk of malaria and to reorient, if necessary, the strategy of the antimalaria struggle in Réunion.